Abstract
Nowadays, colorectal anastomotic leak is a threatening surgical complication, especially in low and ultralow rectal resections. Attempts to resolve this problem fultimately lead to the creation of permanent stoma. Preservation of rectal anastomosis is an important task, because in case of its leakage, more than 50 % of patients will have the need for permanent stoma. In this article the authors review various treatment options for anastomotic leakage. Methods of treating presacral sinuses that resulted from mesorectumectomy and techniques of their drainage, as well as the effectiveness of endoscopic methods with biologic glue were discussed. Methods that do not lead to anastomotic leak are more preferable in terms of improvement of quality of life of patients and further prognosis.
Highlights
Covered esophageal selfexpandable metal stents in the nonoperative management of postoperative colorectal anastomotic leaks
Anastomotic leakage of a colorectal anastomosis treated by transanal endoscopic microsurgery
What is the risk for a permanent stoma after low anterior resection of the rectum for cancer? A six-year follow-up of a multicenter trial
Summary
Covered esophageal selfexpandable metal stents in the nonoperative management of postoperative colorectal anastomotic leaks. Endoscopic treatment of postsurgical colorectal anastomotic leak (with videos). Covered self-expendable metal stent in the treatment of postsurgical colorectal diseases: outcome in 29 patients. Efficacy of the over-the-scope clip (OTSC) for treatment of colorectal postsurgical leaks and fistulas.
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